Individual provider Active NPI

Lori Ann Kurtz, LPC, LPB, LADC

  • Professional Counselor
  • Miami, OK
National Provider Identifier
1861645020
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2718 Issued in OK
Practice address
130 A St NE
Suite 110
Miami, OK 74354-6332
Phone
(918) 533-0308
Fax
(918) 542-8815
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0141 OK
Addiction (Substance Use Disorder) Counselor 101YA0400X 333 OK
Professional Counselor 101YP2500X 2718 OK Primary

Addresses

Primary practice location

130 A St NE
Suite 110
Miami, OK 74354-6332

Mailing address

1219 Sky LN
Miami, OK 74354-3841
Phone (918) 533-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0141OKMDCounselor
2718OKMDProfessional Counselor
333OKMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1861645020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SKY LN",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743543841",
            "telephone_number": "918-533-0308",
            "fax_number": "918-542-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 A ST NE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546332",
            "telephone_number": "918-533-0308",
            "fax_number": "918-542-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LPC, LPB, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "0141",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "333",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.